Open AccessEarly management of critically ill patients with COVID‐19
Author(s) -
GutiérrezZarate Damián,
RosasSánchez Karina,
FloresCarrillo Juan Carlos,
MedranoAhumada Salvador,
MartínezFranco Michel
Publication year - 2020
Publication title -
journal of the american college of emergency physicians open
Language(s) - English
Resource type - Journals
ISSN - 2688-1152
DOI - 10.1002/emp2.12294
Subject(s) - medicine , intensive care medicine , mechanical ventilation , covid-19 , pneumonia , hypoxemia , disease , critically ill , proinflammatory cytokine , ventilation (architecture) , critical illness , infectious disease (medical specialty) , inflammation , mechanical engineering , engineering
Coronavirus disease 2019 (COVID‐19) is associated with a severe acute respiratory condition requiring respiratory support and mechanical ventilation. Based on the pathophysiology and clinical course of the disease, a therapeutic approach can be adapted. Three phases have been identified, in which different strategies are recommended in a stepwise invasiveness approach. In the second or acute phase, patients are frequently admitted to the ICU for severe pneumonia and hypoxemia with evidence of a proinflammatory and hypercoagulable state. This stage is an opportunity to intervene early in the disease. Medical strategies and mechanical ventilation should be individualized to improve outcomes.